KEITHA F DAVIS Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209017061

License Status

INACTIVE

Business

First Name

KEITHA

Middle

Last Name

DAVIS

Business Name

KEITHA F DAVIS

Original Issue Date

01/03/2018

Effective Date

05/26/2020

Expiration Date

05/31/2022

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

05/26/2020